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1275111007
LARISA SHAGABAYEVA
MIAMI, FL
NPI
1275111007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
LARISA SHAGABAYEVA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 347-254-4264
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Mailing Address
LARISA SHAGABAYEVA MD
2237 E 26TH ST
BROOKLYN, NY 11229-4941
Phone number: 347-254-4264
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